Daytime Phone___________ Evening Phone: ____________Email Address: ________________________________________Name you like to be called: ________________________________Name as it appears on your Passport if you are an international travelers only:_____________________________________________ Passport Number: _________________Country: ______________Expiration: _____________________________________Place of Issuance: _________Birthplace: _________________Birth Date: _______________Profession: _______________Trip Cost: $2,365.00 if paid by credit card or bank transfer. Paid in full by April 30th, 2017 unless otherwise arranged.

Included: Double Occupancy accommodations, transportation from May 31- June 6, entrances, meals as listed on the itinerary, guide fees.

Not Included: Some meals as listed on the itinerary, items of a personal nature, soft drinks, alcoholic beverages, laundry and gratuities for your guides and drivers.

Deposit: A $500.00 Non-Refundable Deposit must accompany your registration or you may pay in full to reserve your space.

Payment in full is required by April 30th, 2017 to attend this trip unless otherwise arranged. (No refunds after this date.)

By initialing the following "Tour Conditions" I indicate that I have read the tour conditions and agree to comply. ___________ initial here

Please sign the form at the end of this document.

If you have any questions, please contact World ViewZ MediaRobert @ 928.274.7223 or email at: robert@worldviewzmedia.com

PLEASE REMEMBER TO INCLUDE YOUR SIGNED COPY OF THE TOUR CONDITIONS WITH YOUR REGISTRATION FORM…

Tour Conditions: (the small print) PLEASE READ CAREFULLY. Your signature is required at the end.

CANCELLATION AND REFUNDS: All cancellations must be made in writing to World ViewZ Media. All tours are subject to the following cancellation charges. $500.00 non-refundable deposit. Balances are to be paid by April 30th, 2017. No refunds after March 4th, 2017 for any reason.

THERE WILL BE NO REFUNDS WHATSOEVER, FOR ANY REASON, after March 4th, 2017

YOUR DEPOSIT AND FUNDS PAID ARE NOT TRANSFERRABLE.

Once tour has commenced there will be no refunds for any unused or partially used tour features. In all cases, cancellations fee do apply and are non-refundable for any reason, including sickness, or other emergencies. We recommend purchasing travel insurance to cover any emergency cancellations.

TOUR COST DOES NOT INCLUDE: Some meals as listed on the itinerary, items of a personal nature, soft drinks, alcoholic beverages, laundry and gratuities for your guides and drivers.

GRATUITIES: We recommend setting aside $10 a day for your guides, drivers, etc.

BAGGAGE: You will be allowed 1 suitcase and 1 backpack or purse.Additional luggage can be stored at our office location in Sedona and picked up at the end of the trip.

RESPONSIBILITY: World ViewZ Media and its agents, Robert Dakota, Yuko Ito, Gathering Light Journey’sand vehicle drivers, and guides, act only in the capacity as an agent for the passengers in all matters connected with lodging and accommodations, sight-seeing tours and transportation, whether by air, train, cruise, motor coach, motor vehicle, and any other means of conveyance including horseback, helicopter and footpath/trail, and shall not be responsible or liable for any injury, loss, accident, delay or irregularity or incident resulting from strikes, weather, government regulation, acts of war, Acts of God; nor shall they be responsible for any damage or loss of luggage for any reason during the course of the trip, or act or omission of any individual or organization providing the transportation, services or accommodations in connection with these arrangements, nor for any delay or expense incurred due to disruption or revision of schedules, nor for any cause beyond its own control.

The right is reserved to World ViewZ Media, to withdraw a tour, or decline to accept or retain any person as a member of the tour at any time, or to make changes in the published itinerary whenever in their sole judgment, conditions warrant or if they deem necessary for the comfort, convenience, or safety of the passengers. World ViewZ Media shall have the right at any time at its discretion to cancel any tour or the remainder thereof or make any alteration in route, accommodation, price, or other details, and in the event of any tour being rendered impossible, illegal, or inadvisable by weather, avalanches, strike, war, governmental interference or any other cause whatsoever. Any extra expenses incurred as a result thereof shall be your sole responsibility. All prices are based on tariffs and exchange rates in effect on March 4th, 2017, and are subject to change in the event of an adjustment therein.

If costs do fluctuate due to circumstances beyond our control, we reserve the right to alter our quoted price to you. Acceptance of any travel plan shall be deemed to constitute acceptance of this limitation of responsibility.

The person making any booking will, by the making of such booking, warrant that he or she has authority to enter into a contract on behalf of the other person/s included in such a booking and in the event of the failure of any or all of the other person/s so included to make payment, the person making the booking shall by his/her signature thereof assume personal liability for the total price of all bookings made by him/her.

INSURANCE: You must take out comprehensive insurance coverage before travel for cancellation, medical expenses, personal baggage and money. This should be arranged at the time of payment of the deposit or payment in full to cover you for cancellation after that time.

TRAVEL INSURANCE to include medical coverage is required.

Travel Insurers in the U.S.Access America (804) 285-3300 or (800) 284-8300Travel Guard International (715) 334-0505 or (800) 826-1300Also check AAA or American Express

I have read and fully understood the terms and conditions of this agreement.

_____________________________________________________________________

Signature: PLEASE SIGN AND THEN PRINT YOUR NAME.

Email or Snail mail this form to robert@worldviewzmedia.com with your deposit or payment in full. Thank you.